锁定加压钢板在骨盆后环损伤中的临床应用  

The locking compression plate fixation for injuries at the posterior ring of pelvis

作　　者：王秋根[1] 杜明奎[1] 纪方[1] 张秋林[1] 汪滋民[1] 蔡晓冰[1] 汪方[1] 王万宗[1] 汤旭日[1] 吴剑宏[1] 邓迎生[1] 

机构地区：[1]第二军医大学附属长海医院骨科,上海200433

出　　处：《中华创伤骨科杂志》2006年第1期34-37,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨锁定加压钢板在骨盆后环损伤中的临床应用。方法应用锁定加压钢板治疗5例骨盆后环损伤患者,其中男4例,女1例;年龄27～49岁,平均35.6岁。致伤原因:撞伤2例,挤压伤2例,坠落伤1例。按照AO骨盆环损伤分型:B1型1,B2型2例,B3型1例,C1型1例。骨盆后环损伤按照Denis分型:Ⅰ区4例,Ⅱ区1例。结果5例患者获3～12个月(平均5.8个月)随访。手术时间30～80min,平均50min,术中无输血,出血100～400mL。所有患者术后无神经损伤,切口均一期愈合。腰骶及下肢活动、感觉均正常。无会阴部感觉障碍。结论锁定加压钢板治疗骨盆后环损伤操作简单、创伤小,并发症少,是治疗骨盆后环损伤的有效方法之一。Objective To explore the clinic results of the locking compression plate fixation for injuries at the posterior ring of pelvis. Methods 5 patients with injuries at the posterior ring of pelvis were treated with locking compression plate fixation. 2 of them resulted from crashing, 2 from crushing and 1 from falling. They included 4 males and 1 female and their average age was 35.6 years. According to AO classification system, there were 1 type B1, 2 type B2, 1 type B3 and 1 type C1; according to Dennis classification system, there were 4 section I fractures and 1 section II fracture. Results All the patients were available at follow-up, with a mean period of 5.8 months （ranging from 3 to 12 months） . The average intraoperative time was 50 minutes （ranging from 30 to 80 minutes）, and no patient underwent blood transfusion because the intraoperative blood loss was only 100 to 400 mL. There was no iatrogenie nerve injury and all the incisions healed during the primary procedure. The function and sense of sacroiliac joint and low extremities recovered to normal. Conclusion The locking compression plate fixation is one of the effective methods for treatment of injuries at the posterior ring of pelvis, for it is simple and minimally traumatic, and has a low rate of complications.

关 键 词：锁定加压钢板 骨盆后环 骶髂复合体 骨折固定术 内 

分 类 号：R687.3[医药卫生—骨科学]